Organization
BETHANNA
Active
Other names
Bethanna Bible and Missionary Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LEIGH FRITCH (CHIEF FINANCIAL OFFICER)
(215) 355-6500
Entity
Organization
Contact information
Practice address
1030 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3955
(215) 355-6500
(215) 355-8617
Mailing address
1030 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3955
(215) 355-6500
(215) 355-8617
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
105330
PA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
198510
PA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
198520
PA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
198530
PA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
198540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007513410004
—
PA
Enumeration date
11/28/2006
Last updated
08/22/2020
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